Have you participated in a mentorship program before? If so, tell us about it.

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Tell us a little about yourself: Don’t forget to mention the academic and life experiences that have helped you develop important skills and contributed to your success.We are also interested in hearing about your hobbies and interests as this will help us with the matching process.

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What are some of the things that you can see a Mentor helping you with?

Examples: choosing the right programs at school, apartment hunting, having difficult conversations etc.

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Please tell us about the specific skills and experiences would like to share with youth who are preparing to transition to independence.

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Tell us about your academic journey and goals

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Tell us about your career goals

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What do you foresee as potential challenges of being in a mentoring relationship?

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What motivates you to become a mentor?

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*Are you willing to meet our program requirement of:1. Meeting in person at least once a month2. Connecting virtually (phone, text, email etc.) about once a week *

Y

Yes

N

No

Please tell us about your previous volunteer experience. Don’t forget to tell us also if you have experience volunteering with young people.

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Tell us about aspects of your personality

Choose as many as you like

A

Quiet

B

Outgoing

C

Confident

D

Shy

E

Talkative

F

Optimistic

G

Nurturing / Supportive

H

Friendly

I

Adventurous

J

Sensitive

K

Inquisitive

L

Creative

M

Inspirational

N

Energized

O

Other

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What is your Social Worker's name and contact information?

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Is there anything else you would like to share with us that will help provide the best possible match?